This video contains footage from Dr. James Nachbar’s office, as well as him performing surgery in the operating room in a Scottsdale surgical facility. Dr. Nachbar, his office team, and his surgical team were wonderful to work with—friendly and a joy to work with. I’ve had family members visit Dr. Nachbar for a handful of procedures—he is a consummate professional who is caring, careful, and passionate about his profession and helping his patients achieve a better quality of life.
Instead of setting up additional filming days, I was able to borrow a lot of footage I filmed in Dr. Nachbar’s office, which saved me a lot of time, and Dr. Nachbar a lot of money.
There is no question that kids are wonderful, but also no question that they can take a lot out of you, in more ways than one! Pregnancy, and especially repeated pregnancies, stretch and distort the breasts and abdomen. Fortunately, there is something you can do about it: a combination of surgeries we call the “Post-Baby Tune-Up.”
Years before the term “Mommy Makeover” became popular, Dr. Nachbar had been doing combined procedures to help women whose bodies had been ravaged by pregnancy, especially multiple pregnancies. Because he was doing so many of these procedures, he coined the term “Post-Baby Tune-Up”. Later, on February 21, 2003, he applied for a trademark on that name, and on February 3, 2004, the US Patent and Trademark Office granted him that trademark.
In April 2004, Dr. Nachbar attended the annual ASAPS meeting in Vancouver and happened to ride the bus from the airport with Patricia Anstett, a reporter for the Detroit Free Press, and explained the Post Baby Tune-Up® procedure to her. As reported by Word Spy, her subsequent article about the Post-Baby Tune-Up® procedure in the Detroit Free Press on July 9, 2004 is the earliest citation of the term “Mommy Makeover”.
Ms. Anstett was awarded the 2005 ASAPS Journalistic Achievement Award in the Newspaper category for her article, which was picked up by papers around the world. And now you know how the Mommy Makeover was born, right here in Scottsdale, Arizona!
The effects of pregnancy on the abdomen are fairly obvious. Although the uterus is usually about the size of an orange, during pregnancy, the baby grows inside the uterus, stretching the uterus and ultimately the abdominal wall. As the baby grows, the uterus presses on the inside of the muscle wall of the abdomen. At the front of the abdomen, the two vertically oriented “Rectus” muscles (the “six-pack” muscles) get pulled apart, and actually separate as the fascia elongates. Once that has happened, nothing other than surgery can bring them back together. Exercise can’t do it, since there is no muscle in the midline for you to exercise.
In addition to the muscle, the skin gets stretched as the baby grows. This is especially notable in the center of the abdomen, near the belly button. Stretch marks may develop. Once the baby is delivered, the skin collapses, and may leave loose, hanging skin. Because the underlying muscle has also been stretched, a bulge may be apparent in the lower abdomen, especially when you stand up.
The effects on the breasts are no less dramatic. Due to hormonal changes brought on by pregnancy, the breasts start to grow, especially as the baby is getting ready to be born. Following delivery, breast feeding causes the breasts to repeatedly stretch. Once breast-feeding is complete, the breasts typically decrease in size, often to a size smaller than they were before the pregnancy. Again, stretch marks and loose skin result, and the breast tissue loses its substance and starts to hang.
While even a single pregnancy has these effects, I have seen repeated pregnancy doing the most damage. Often, a woman will tell me that she had little trouble after the first and second child, but the third one caused a tremendous amount of abdominal stretching and breast tissue loss. Extra collections of fat, which might have been present but much less obvious, become apparent.
The frequent combination of these problems: breast tissue loss and drooping, abdominal stretching of muscle and skin, and local collections of fat, led us to develop the Post-Baby Tune-Up® Mommy Makeover. Modern surgical technology allows us to safely combine these procedures.
Scottsdale, AZ plastic surgeon Dr. James Nachbar is highly trained in executing this procedure and performs many breast augmentations year round. During your consultation at Scottsdale Plastic Surgery, Dr. Nachbar will address your concerns and desires and provide you with all of the options available, while also tailoring a surgical plan to reach your goals.
Also at your consultation, we can do a 3-D Surgical Simulation, so you can see what you might look like with the breast implants you have selected.